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/y po665� <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />commence on or <br />hereby <br />side of <br />sheet may <br />Date: /0 1 Nap <br />Received By: W <br />cR#: 4A6(a9 <br />APPLICANT <br />Name: dAlizi <br />znyvhi� �z� <br />Address: �gi t <br />City, State, Zip Code: <br />95" Z t S' <br />Area Code - Telephone <br />Number: <br />SITE INFORMATION: <br />Parcel Owner's Name: <br />TYPE: �3 <br />Site Address: <br />FORMS: <br />City, State, Zip Code:S— <br />NOTES: <br />Area Code -Telephone <br />Number: <br />CONTRACTOR <br />Name: <br />WIDTHS <br />Address: <br />Cit , State,Zip Code: <br />COMMERCIAL: <br />Area Code - Tele <br />hone <br />Number: <br />commence on or <br />hereby <br />side of <br />sheet may <br />Date: /0 1 Nap <br />Received By: W <br />cR#: 4A6(a9 <br />excavate, construct andJor otherwise encroach on County Hi ay Right-of-Wa on the <br />appro imately 'ii fee ile <br />ST 7L by installing <br />for approximately <br />Will this project beself-installed9 � S NO <br />XIENCROACNALNiS1MaAeFFonns-TarelekslENCgOACHAIEMMOM ONVEIYAY.tloa �09MB� <br />Contractor's License <br />days. <br />Work will <br />OFFICE USE ONLY <br />JOB #: <br />11005 ISSUE DATE: <br />AIDN S7-3tb FEE DUE: <br />EXP. DATE: <br />DRIVEWAYS: <br />STREET: <br />o eleoe A9 <br />AREA: 1!5 <br />y QUAD <br />TYPE: �3 <br />✓.Q�dn/ <br />FORMS: <br />NOTES: <br />DRIVEWAY <br />TYPE: <br />QUANTITY <br />WIDTHS <br />AGRICULTURE: <br />I @FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL: <br />@ R1W <br />RESIDENCE: <br />PAVED FRONTAGE <br />LENGTH: <br />Ft. X WIDTH: Ft, <br />excavate, construct andJor otherwise encroach on County Hi ay Right-of-Wa on the <br />appro imately 'ii fee ile <br />ST 7L by installing <br />for approximately <br />Will this project beself-installed9 � S NO <br />XIENCROACNALNiS1MaAeFFonns-TarelekslENCgOACHAIEMMOM ONVEIYAY.tloa �09MB� <br />Contractor's License <br />days. <br />Work will <br />